Pawlowski, Edward
Pawlowski, Edward was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPAWLOWSKI, EDWARD
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1598960395assigned 06/20/2007
33bProvider typeSpecialist
28Total paid$1.77M
24GClaims51,399
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#4 of 543
Median peer was paid$16K
This provider vs. median112×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 366 | $19K | |
| 2019 | 83 | $5K | |
| 2020 | 1,847 | $44K | |
| 2021 | 8,663 | $307K | |
| 2022 | 10,238 | $360K | |
| 2023 | 15,708 | $525K | |
| 2024incomplete | 14,494 | $511K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 9,536 | 9,042 | $417K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 5,237 | 4,977 | $354K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 2,386 | 2,380 | $290K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,793 | 1,791 | $200K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,827 | 1,816 | $196K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 965 | 963 | $109K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 1,039 | 1,027 | $47K |
| 99188 | 1.8% | 1,355 | 1,354 | $32K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 853 | 755 | $22K |
| 92551 | 1.2% | 3,804 | 3,789 | $21K | |
| 99173 | 1.2% | 3,791 | 3,778 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,951 | 1,905 | $19K |
33 more codes
| 96161 | <1% | 1,289 | $6K | |
| 90686 | <1% | 1,030 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,482 | $4K |
| 90670 | <1% | 684 | $4K | |
| 90698 | <1% | 725 | $4K | |
| 90680 | <1% | 871 | $3K | |
| 90677 | <1% | 377 | $3K | |
| 87807 | <1% | 143 | $2K | |
| 90633 | <1% | 573 | $2K | |
| 90744 | <1% | 259 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 41 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $2K |
| 90697 | <1% | 511 | $1K | |
| 90710 | <1% | 250 | $1K | |
| 90707 | <1% | 203 | $884.00 | |
| 96127 | <1% | 1,129 | $754.20 | |
| 90716 | <1% | 187 | $676.00 | |
| 85018 | <1% | 232 | $244.02 | |
| 90651 | <1% | 60 | $169.00 | |
| 81002 | <1% | 14 | $62.00 | |
| 94760 | <1% | 24 | $61.92 | |
| 96160 | <1% | 1,353 | $39.78 | |
| G9920 | Screening performed and negative | 0% | 526 | $0.00 |
| 83655 | 0% | 598 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90671 | 0% | 336 | $0.00 | |
| 80061 | Lipid panel | 0% | 127 | $0.00 |
| 90619 | 0% | 79 | $0.00 | |
| 3008F | 0% | 2,729 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 784 | $0.00 |
| 90696 | 0% | 13 | $0.00 | |
| 90620 | 0% | 20 | $0.00 | |
| 90656 | 0% | 155 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.